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1952902934
KYLE ELLIS RUCKMAN
FARMINGTON, NM
NPI
1952902934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-11-05
Last Update Date
2024-05-07
Business Address
KYLE ELLIS RUCKMAN PA-C
630 W MAPLE ST
FARMINGTON, NM 87401-6113
Phone number: 505-609-6349
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Mailing Address
KYLE ELLIS RUCKMAN PA-C
PO BOX 6210
FARMINGTON, NM 87499-6210
Phone number: 505-609-2258
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